| Umar Latif Md Pa | |
|
8800 Us Highway 380 Suite 600 Cross Roads TX 76227 | |
| (940) 365-5711 | |
| (940) 365-5722 |
| Full Name | Umar Latif Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8800 Us Highway 380, Cross Roads, Texas |
| Authorized Official Name and Position | Umar Latif (CEO) |
| Authorized Official Contact | 9403655711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umar Latif Md Pa 5999 Custer Rd # 110-355 Frisco TX 75035-9302 Ph: (940) 365-5711 | Umar Latif Md Pa 8800 Us Highway 380 Suite 600 Cross Roads TX 76227 Ph: (940) 365-5711 |
| NPI Number | 1568581718 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Medicare PECOS PAC ID | 6901903665 |
|---|---|
| Medicare Enrollment ID | O20070515000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568581718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M1197 (Texas) | Primary |
| Provider Name | Umar Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952413510 PECOS PAC ID: 2567564941 Enrollment ID: I20070305000211 |
| Provider Name | Megan N Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861010506 PECOS PAC ID: 6305264888 Enrollment ID: I20200915002903 |
Success On The Spectrum Cross Roads Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Us Highway 380 Ste 201, Cross Roads, TX 76227 Phone: 940-567-8094 Fax: 940-567-8160 |